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临床资料19例患者,均根据病史、体检、“B”超、血生化检查及放射科等检查得已确诊。年龄60～83岁,病程3个月至6年.因急性尿潴留入院者6例,慢性排尿不畅,曾行药物治疗或耻骨上膀胱造瘘者13例。全组病人均不同程度伴有心血管、呼吸系统疾病或肾功能损害。术后随访1～4年,症状完全解除者16例,明显改善者2例,无效者1例。前列腺肛门指检:术前Ⅰ°～Ⅱ°15例,Ⅲ°4例,术后正常16例,Ⅰ～Ⅱ°2例,Ⅲ°1例。手术方法急性患者确诊后,先行保留导尿或耻骨上膀胱造瘘,然后择期手术,慢性患者确诊后择期手术。术前做一般准备。手术在局麻下进行,取阴囊正中切口,打开纵隔,切除双侧睾丸,精索残端双重结
Clinical data 19 patients were based on medical history, physical examination, “B” ultra, blood biochemistry and radiology and other tests have been diagnosed. Aged 60 to 83 years old, duration of 3 months to 6 years due to acute urinary retention admitted to hospital in 6 cases, poor urination, had medication or suprapubic bladder ostomy in 13 cases. All groups of patients with varying degrees of cardiovascular, respiratory disease or renal damage. Follow-up 1 to 4 years after surgery, 16 cases were completely relieved of symptoms, 2 cases were significantly improved, 1 case was ineffective. Prostate anus finger examination: preoperative Ⅰ ° ~ Ⅱ ° 15 cases, Ⅲ ° 4 cases, 16 cases were normal, Ⅰ ~ Ⅱ ° 2 cases, Ⅲ ° 1 case. Acute patients with surgical diagnosis, the first to retain catheterization or suprapubic cystostomy, and then elective surgery, chronic patients diagnosed after elective surgery. Preoperative general preparation. Surgery under local anesthesia, take the middle of the scrotum incision, open the mediastinum, resection of bilateral testis, sperm stump double end